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Year : 2013  |  Volume : 17  |  Issue : 7  |  Page : 59-63

Adrenal incidentaloma: A puzzle for clinician

Department of Endocrinology and Diabetology, TOTALL Diabetes Hormone Institute, Indore, Madhya Pradesh, India

Correspondence Address:
Sunil M Jain
TOTALL Diabetes Hormone Institute, A unit of Diabetes Thyroid Hormone Research Institute Pvt Ltd., BCM Health Island, PU4, Scheme 54, Behind Prestige Management Institute, Near Bombay Hospital, Indore - 452 010, Madhya Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2230-8210.119507

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An adrenal incidentaloma (AI) is a puzzle for clinician. In the era of widespread use of CT and MRI, it is becoming an increasingly frequent diagnosis. A detailed list of investigations is ordered to diagnose pathology responsible for AI. Most likely etiology of AI is pathology of AI is benign non-functional adenoma. But looking to the need of specific preoperative preparation for functional adrenal adenoma and importance of early diagnosis in adrenal carcinoma, a complete workup is essential. CT scan of adrenals with contrast gives maximum information about nature of lesion. In general, a lesion more than 6cm or a functioning AI or tumor signal intensity of more than 10HU on unenhanced image, significant enhancement on contrast and deenhancement in signal intensity of less than 50% is suggestive of carcinoma and must be removed. Those AI which are left for observation, also needs regular testing and if found functional on subsequent follow-up or if their size enlarge, they must be removed.

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